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The 2016 LIRW Luncheon Registration is now open!


2016 LIRW Luncheon Registration

Luncheon Price: $65, $55 for LIRW Members

To register for the 2016 LIRW Luncheon, please fill out the form below and click SUBMIT.
You will then be directed to return to this page to pay through PayPal. Thank you!

Any questions, please contact Luncheon Chairwoman, Beth Ellen or Vice Chair Vivi Parish.
Or email: LIRWchap160 -at- gmail -dot- com.

See Cancellation Policy HERE.


Please Select One of the Following:
I am a LIRW Member      non-LIRW Member
First Name: Last Name :
Address 1:
Address 2:
City: State: Zip:
Phone Number (123-456-7890):
Email:

Any Special Dietary Requirements? :

Below please enter your Badge Information EXACTLY as you would like it to appear.
Three Line Maximum (Including Name, 20 Character Maximum each line)
Badge Line 1:
Badge Line 2:
Badge Line 3:

Please make sure to hit submit before moving to Pay Pal.
Your information will be lost if you don't click submit. Thanks.

You will be directed back to this page after you submit your form in order to pay via PayPal.
Cancellation Policy HERE.










Click on link below to initiate PayPal transaction
LIRW Members fee $55:
Click on link below to initiatePayPal transaction
Non-LIRW Member fee $65:

 CANCELLATION POLICY

  • Full Refund - request received by April 8, 2016
  • Half Refund - request received by April 22, 2016
  • No Refund on requests received after April 22, 2016

 

 

 

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